Utilization review nurse jobs in Los Angeles, CA
Prior Authorization Nurse
The UM Prior Authorization Nurse is primarily responsible for reviewing referrals for medical services.. VP of Clinical Policy and or Medical Director whenever appropriate in utilization management or problem..
TRICARE Outpatient Utilization Review Nurse
Position. Outpatient Utilization Review Nurse 100. Remote Duration. 6 month rolling contract Hours.. 530 (In time zone you reside in) Our client is looking for a Utilization Review Nurse to provide first..
Utilization Review LPN LVN
California Licensed Vocational Nurse upon hire 2 years' Clinical experience in an HMO, medical group.. Bachelor's Degree in Healthcare related field. 3 years' Experience in utilization management or case..
Utilization Review LPN LVN
Description Care Management is a collaborative practice model including the patients, nurses, social.. Bachelor's Degree in Healthcare related field. 3 years' Experience in utilization management or case..
Denial Review Nurse - Utilization Management - Hybrid
Job Title. Denial Review Nurse. Department. Health Services. Denials. About the Role. We are currently.. priority levels and deadlines Utilization management experience with a Health Plan or MSO Proficient..
Utilization Management Denial Review Nurse - LVN
You will review for appropriate care and setting while working closely with denial coordinators and.. Current CA LVN licensure required Two or more years of utilization review utilization management..
Supervisor - Case Manager/Utilization Review
Immediate need for a talented Supervisor. Case Manager Utilization Review. This is a 03. Months Contract.. Experience as charge supervisor to Case managers Utilization Review Nurse. Need to work with insurance..
Manager, Utilization Management (Appeals)
Manages Prior Authorization, Concurrent Review, and or Retrospective Review Clinical Review team to.. Manages utilization management issues related to member care, provider interactions, and facilitates..
Sr. Utilization Review Mgt. Coordinator
POSITION SUMMARY. Our client hospital organization is in search of a Sr. Utilization Mgt. RN Coordinator.. This Mgt. RN Coordinator will monitor adherence to the hospital's utilization review plan to ensure the..
Registered Nurse Utilization Review OPIS
Visit nchjobs.org to learn more.JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients.. Collaborate with nurses, physicians, case managers and social workers when potential payer concerns will..
Utilization Review Clinical Manager - Denials (Registered Nurse)
Job Description Job Description Job Description. Manager of Clinical Utilization Management. Denial.. Foster effective communication and collaboration with physician reviewers, medical directors, and..
Utilization Review (UR) Specialist - Addiction Treatment Program
May access and consult with peer clinical reviewers, Medical Directors and or delegated clinical.. Qualifications. 1 2 years of clinical or utilization review experience. or any combination of education..
Registered Nurse - Utilization Review / CDI
2. years of ambulatory care experience 2. BSN 3. Utilization review experience Job Duties. 1. Review.. Review occurrence reports and the related pertinent medical records to determine opportunities for..
Utilization Management Review Nurse - Hybrid
About the Role. Astrana Health is looking for an LVN Utilization Review Nurse to assist our Health.. What You'll Do. Complete prior authorization retrospective review of elective inpatient admissions..
Clinical Utilization Review Nurse (RN)
Clinical Utilization Review Nurse (RN) Full time. Remote. Permanent Managed Resources is a leading.. Our Clinical Utilization Review services consists of supporting the utilization review component of the..
Local Contract Nurse RN - Utilization Review - $85-95 per hour
Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing.. Job Description & Requirements Specialty. Utilization Review Discipline. RN Start Date. ASAP Duration..